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            <h2 class="h2_n1">【一次性使用无菌注射器】

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                <span class=" update-btn" title="">修改<i>|</i></span>
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                    <h4 class="fh-tit fh-notes">物价信息</h4>
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                    <span class="tips">*为必填项    <i>桔色内容</i>为变更提醒</span>
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                                <span class="input-group-addon" id="basic-addon1">物价类型</span>
                                <label class="radio-inline contrast_radio">
                    <input type="radio" name="inlineRadioOptions" id="inlineRadio1" value="1" >
                    <span>政府招标价</span>
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                    <span>医疗机构招标价</span>
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                    <span>医疗机构采购价</span>
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                        <div class="col-md-4 col-lg-4">
                            <div class="input-group  ">
                                <span class="input-group-addon" id="basic-addon1">医疗机构</span>
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                        <div class="col-md-4 col-lg-4">
                            <div class="input-group">
                                <span class="input-group-addon" id="basic-addon1">价格</span>
                                <input type="text" class="form-control" placeholder="" name="email" data-old="010-83190100" data-oldb="010-83190100">
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                                <span class="input-group-addon" id="basic-addon1">包装单位</span>
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                                <span class="input-group-addon" id="basic-addon1">招标时间</span>
                                <input type="text" class="form-control" action="date" placeholder="" name="email">
                            </div>
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                        <div class="col-md-4 col-lg-4">
                            <div class="input-group">
                                <span class="input-group-addon" id="basic-addon1">价格有效期</span>
                                <input type="text" class="form-control" action="date" name="email">
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                                <span>年</span>
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                                <input type="text">
                                <span>期</span>
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                                <input type="text">
                                <span>页</span>
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                        <div class="col-md-12 col-lg-12">
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                                <span class="input-group-addon" id="basic-addon1">备注</span>
                                <textarea name="busscope" id="" cols="30" rows="3" class="form-control"></textarea>
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                            <p class="fr">物价表封面</p>
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                            <p class="fl">物价表内页</p>
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            <table class="table  table-1 table-route">
                <thead>
                    <tr>
                        <th>
                            序号</th>
                        <th>物价类型</th>
                        <th>地区</th>
                        <th>包装单位</th>
                        <th>价格</th>
                        <th>年</th>
                        <th>期</th>
                        <th>页</th>
                        <th>医保编号</th>
                        <th>照片</th>
                    </tr>
                </thead>
                <tbody>
                    <tr>
                        <td class="valtop">
                            01
                        </td>
                        <td>
                            医院采购价

                        </td>
                        <td>
                            北京
                        </td>
                        <td>支</td>
                        <td class="text-right">11</td>
                        <td>2014</td>
                        <td>8</td>
                        <td class="text-center">2
                        </td>
                        <td class="b_type2">YK0002</td>
                        <td><img src="images/o4_07.png" class="img_cs"></td>
                    </tr>
                    <tr>
                        <td class="valtop">
                            01
                        </td>
                        <td>
                            医院采购价

                        </td>
                        <td>
                            北京
                        </td>
                        <td>支</td>
                        <td class="text-right">11</td>
                        <td>2014</td>
                        <td>8</td>
                        <td class="text-center">2
                        </td>
                        <td>YK0002</td>
                        <td><img src="images/img_14_10.png" class="img_cs"></td>
                    </tr>
                </tbody>

            </table>
        </form>
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